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The economic burden of oral cancer in Iran

Author

Listed:
  • Aziz Rezapour
  • Reza Jahangiri
  • Alireza Olyaeemanesh
  • Bita Kalaghchi
  • Mojtaba Nouhi
  • Azin Nahvijou

Abstract

Background: Cancer is one of the leading causes of death in the world, among which, oral cancer is associated with significant morbidity, and low survival. A large part of the budget allocated to health care is attributed to cancer. In this study we aim to estimate the economic burden of oral cancer in Iran for the year 2014. Methods: In this study, we generated a prevalence-based estimate of the cost-of-illness of oral cancer in Iran. A societal perspective was used for this study, in which the direct costs and productivity losses of oral cancer cases in 2014 were estimated. The human capital approach was adopted for estimating productivity losses. Several data sources contributed to this study, including national cancer registry reports, hospital records, occupational data, and interviews with experts. Result: Nearly 53% of patients were diagnosed in an advanced stage of oral cancer. The economic burden of oral cancer was $64,245,173 most of which (50%) was attributed to productivity losses. The direct medical cost accounted for 42% of the estimated total cost. Treatment expenses for advanced stages were five times higher than the early stages ($10,532 vs. $2,225). Conclusion: The economic burden of oral cancer is high in Iran. Planning an early detection and screening program for oral cancer may potentially decrease health care costs, morbidity, and mortality.

Suggested Citation

  • Aziz Rezapour & Reza Jahangiri & Alireza Olyaeemanesh & Bita Kalaghchi & Mojtaba Nouhi & Azin Nahvijou, 2018. "The economic burden of oral cancer in Iran," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0203059
    DOI: 10.1371/journal.pone.0203059
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    References listed on IDEAS

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    1. Alison Pearce & Paul Hanly & Aileen Timmons & Paul Walsh & Ciaran O’Neill & Eleanor O’Sullivan & Rachael Gooberman-Hill & Audrey Thomas & Pamela Gallagher & Linda Sharp, 2015. "Productivity Losses Associated with Head and Neck Cancer Using the Human Capital and Friction Cost Approaches," Applied Health Economics and Health Policy, Springer, vol. 13(4), pages 359-367, August.
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    1. Maria Silfverschiöld & Kristin Carlwig & Johan Jarl & Lennart Greiff & Per Nilsson & Johan Wennerberg & Björn Zackrisson & Ellinor Östensson & Johanna Sjövall, 2024. "Cost-effectiveness analysis of (accelerated) pre-operative versus (conventional) post-operative radiotherapy for patients with oral cavity cancer in Sweden," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(1), pages 177-185, February.

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